Shi Haishan, Cao Chuan, Li Xiaoge, Chen Liang, Li Shirong
Department of Plastic and Reconstructive Surgery of Southwest Hospital, Third Military Medical University Chongqing, China.
Int J Clin Exp Med. 2015 Oct 15;8(10):18737-43. eCollection 2015.
The most critical thing in breast augmentation surgery is to determine the location for implant placement. However, few researches on this were carried out in China. We therefore conducted this retrospective study to compare the recovery period, complications and patient satisfaction at two different implant placement locations-the subglandular plane and the subpectoral plane.
A total of 144 patients were included. All of them have undergone primary aesthetic breast augmentation with cohesive silicone gel implant. Then they were divided into two groups according to the implant location: group A (in the subglandular plane) and group B (in the subpectoral plane). Data collected were patient data, surgery-related indicators, recovery, complications and patient satisfaction.
Thirty-nine patients were assigned to group A, and 105 patients to group B. In terms of patient data, no significant difference was found in age, follow-up time and the size of prosthesis between the two groups, but there existed statistically significant difference in body mass index (BMI) and the preoperative mammary tissue thickness (P < 0.05). For surgery-related indicators and recovery, group A was better than group B in surgical blood loss, duration of pain and indwelling drainage tube, with statistical significance (P < 0.05). But regarding the complications, significant difference was found only in the nipple-areola numbness (P < 0.05). Overall, 76% of the patients reported they were "satisfied" with the outcome or the outcome was "perfect".
Implant placement in the subglandular plane has a shorter recovery period than that in the subpectoral plane. The occurrence of complications and degree of patient satisfaction are similar in the two groups.
隆胸手术中最关键的是确定植入物的放置位置。然而，中国在此方面的研究较少。因此，我们进行了这项回顾性研究，以比较在两个不同植入位置——乳腺后间隙和胸大肌后间隙——的恢复期情况、并发症及患者满意度。
共纳入144例患者。所有患者均接受了初次使用粘性硅胶凝胶植入物的美容隆胸手术。然后根据植入位置将她们分为两组：A组（乳腺后间隙）和B组（胸大肌后间隙）。收集的数据包括患者资料、手术相关指标、恢复情况、并发症及患者满意度。
39例患者被分配至A组，105例患者被分配至B组。在患者资料方面，两组患者的年龄、随访时间和假体大小无显著差异，但体重指数（BMI）和术前乳腺组织厚度存在统计学显著差异（P<0.05）。在手术相关指标和恢复情况方面，A组在手术失血量、疼痛持续时间和留置引流管方面优于B组，具有统计学意义（P<0.05）。但在并发症方面，仅在乳头乳晕麻木方面存在显著差异（P<0.05）。总体而言，76%的患者表示对结果“满意”或结果“完美”。
乳腺后间隙植入物的恢复期比胸大肌后间隙植入物短。两组并发症的发生率和患者满意度相似。
